Bonnie Jane Roth is a Clinical in Studio City, California. Bonnie Jane Roth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Jane Roth is 1780716506. The last update date is 2011-03-09.
Bonnie Jane Roth's current location address is 13025 Moorpark St, Studio City, California. You can contact this provider via phone number 8189059475 and fax number 8183760044. The mailing address for Bonnie Jane Roth is 13025 Moorpark St, Studio City, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonnie Jane Roth |
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Address | 13025 Moorpark St, Studio City, California |
Phone Number | 8189059475 |
Fax Number | 8183760044 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1780716506 |
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Provider Enumeration Date | 2007-03-09 |
Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
Address | 13025 Moorpark St |
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City | Studio City |
State | California (CA) |
Post Code | 916041464 |
Phone Number | 8189059475 |
Fax Number | 8183760044 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Bonnie Jane Roth by the Centers for Medicare & Medicaid Services (CMS)?
The Bonnie Jane Roth has been assigned the NPI (National Provider Identifier) 1780716506. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bonnie Jane Roth?
The Bonnie Jane Roth is physically situated at 13025 Moorpark St, in the city of Studio City, state of CA, with the postal code 916041464.
What is Bonnie Jane Roth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bonnie Jane Roth is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Bonnie Jane Roth receive the assignment of its 1780716506 from the Centers for Medicare & Medicaid Services?
The Bonnie Jane Roth was issued its 1780716506 by the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date were the details pertaining to Bonnie Jane Roth last refreshed?
The information related to the Bonnie Jane Roth, including its address, specialty, and other relevant details, was last updated on 2011-03-09.